• Title/Summary/Keyword: 환자 중심 케어

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Exploratory Study of Person Centered Care Practice in Korean Long-term Care Facilities using DCM(Dementia Care Mapping) as a tool (DCM(Dementia Care Mapping)을 활용한 한국 요양시설에서의 사람중심케어 실천의 탐색적 연구)

  • Kim, Dongseon
    • 한국노년학
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    • v.41 no.2
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    • pp.197-215
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    • 2021
  • This study aims to evaluate Person Centered Care practice and characteristics of care services in Korean long-term care facilities using Dementia Care Mapping as a tool. DCM, systematic observational evaluation tool for measuring dementia patients' QOL, was transformed into self-report rating scale. The process of transforming DCM into a scale of 34 items involves operationalization of DCM concepts and it's adaptation into Korean long-term care practices. Review by research team of Bradford university was added to maintain DCM concept and meaning in this scale. The scale with Cronbach alpha of .88 was surveyed on 343 care workers. Survey result shows PCC value practiced by them is 3.77(of 5 likert scale) and values on each categories of PCC reveal the characteristics of care in Korean facilities; attachment(4.02), comfort(3.95), inclusion(3.89), identity(3.67) and occupation(3.41). Dementia care in Korean facilities focuses on recipients'safety, comfort but lacks individualistic care and the meaningful and fulfilling occupation for patients. Looking at the organizational and individual factors influencing DCM values, the small facilities showed higher PCC values and there are no significant difference in PCC values between public and private facilities. Managers and care workers with career of 1~2 years showed higher PCC values compared to other career ranks and lengthes. This study suggests care practice should be centered on personhood of patients in long-term care facilities, for which introduction of unit care and education of PCC for service providers including support personnel are needed. DCM and Korean DCM scale developed in this study are suggested for the PCC-based assessment on care quality.

Design and Implementation of Tele Auscultation Medicine Smart-Healthcare System based on Digital Stethoscope (디지털청진기 기반의 원격청진진료 스마트-헬스케어 시스템 설계 및 구현)

  • Kim, Heung-Ki;Jung, Jung-Il;Cho, Jin-Soo
    • Journal of the Institute of Electronics Engineers of Korea CI
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    • v.48 no.6
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    • pp.62-70
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    • 2011
  • Smart-healthcare service is a health medical service which aims to provide an active consumer-directed service for both wellness and preventative health management upon the basis of rapid diffuse of smartphone which has been occurring recently. On this, this paper suggests a tele auscultation medicine smart-healthcare system based on digital stethoscope which is able through the use of the smart phone which is easy to approach anywhere. The suggested system consists of the digital stethoscope for patient's self auscultation and smart phone, the PC for doctor's examination, and the web server to connect those devices. A telemedicine can be performed between a doctor and a patient by the program which exchanges examine data and auscultation data among the devices. To sum up, by the system suggested in this paper, an easily and conveniently usable health medical service on an everyday basis could be provided without spatial and temporal limits.

Food Ontology Model for a Healthcare Service (헬스케어 서비스를 위한 푸드 온톨로지 모델)

  • Lee, Byung Mun
    • Journal of Korea Society of Industrial Information Systems
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    • v.17 no.6
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    • pp.31-40
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    • 2012
  • Ubiquitous technology influences on various firms of contents needed for self-healthcare, as it fuses into medical services. Particularly, rapid changes in the web and mobile environment, requiring various sorts of healthcare and its related contents, make efficiency of search more important. Personalized contents needs to be more refined as well as the existing simple keyword-centered searching method needs to be more effective in order to meet both requirements and characteristics of each patient or each user. A precise semantic searching method is required for a system to understand promptly the meaning of a contents. In this respect, to build a healthcare ontology has its own significance. This study builds up a system model that can be utilized practically in existing systems by setting up the Food Class and its sub-class among the healthcare contents with Protege tool and then materializing constraints and its relationships between each class. The healthcare contents ontology provides patients or users with a platform which can search the needed information promptly and precisely.

Integrated Care Setting for the Elderly and the Roles of Social Workers (노인복지분야의 통합적 케어와 사회복지사의 역할)

  • Yoon, Kyeong-A
    • The Journal of the Korea Contents Association
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    • v.19 no.3
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    • pp.441-456
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    • 2019
  • The objective of this study was to explore the elements and effects of integrated care interventions for the elderly, and to describe the roles of social workers on the multidisciplinary teams. A rapid systematic review was conducted through a database-based search and a manual search. The main findings are as follows: First, Key elements of integrated care for the elderly were case management, individual multidisciplinary care plan, service characteristics, centrality of client needs, patient education, and self-management. Second, In terms of care experience and health of the elderly, and economic analysis, although the results were mixed, there were some positive effects on program participants compared to the control groups. Third, social workers have been found to serve as case managers, care managers, care coordinators, and direct service providers. Based on these results, educational and policy implications were suggested.

Ubiquitous Health Care system for Chronic disease management (만성질환자 관리를 위한 유비쿼터스 헬스케어 시스템)

  • Kim, Heon-Seong;Jo, Jae-Hyeong;Choe, Yun-Hui;O, Jeong-A;Lee, Jin-Hui;Yun, Geon-Ho
    • Information and Communications Magazine
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    • v.27 no.9
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    • pp.3-8
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    • 2010
  • 고령화 사회의 웰빙트렌드와 생활습관에 의해서 의료서비스는 병원 중심의 치료서비스에서 개인과 의료인이 상호 긴밀하게 협력하여 질병의 예방, 관리, 건강증진 등을 제공하는 u-의료서비스 트렌드로 급속히 변화되고 있다. 최근 Biotechnology (BT), Information technology (IT)의 발달은 다양한 소형 센서 및 기기 개발을 가능하게 하고 있으며, 이렇게 측정한 환자의 데이터가 병원과 의사에게 전달되도록 함으로써 언제 어디서나 검사와 진료가 가능하도록 하는 유헬스케어 시스템이 대두되고 있다. 만성질환에 대한 유헬스케어 분야는 이제 단순한 의료차원이 아니라, BT 및 IT부문에 각각 굉장한 산업적 파급효과를 일으킬 수 있어 차세대 성장동력사업으로 발전할 수 있을 것으로 기대하고 있다.

Real-time FIR Filtering for Mobile Computing (모바일 컴퓨팅 환경에서 실시간 유한응답 필터링 연산)

  • Kim, Jeong-Hwan;Park, Sang-Eun;Kim, Kyeong-Seop
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2014.01a
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    • pp.405-406
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    • 2014
  • 최근에 고위험도 환자군을 중심으로 신체의 일부에 생체신호 측정 장치를 부착하여 병원이 아닌 환자가 거주하는 공간을 중심으로 데이터를 수집하고 이를 스마트 폰과 같은 모바일 기기로 전송하여 환자의 건강상태를 감시하는 모바일 헬스케어 패러다임이 활발하게 적용되고 있다. 이에 따라서 본 논문에서는, 웨어러블 생체신호 획득 장치로부터 모바일 기기로 수신되는 환자의 데이터에서 기저선 변동 또는 전원 잡음이 발생하는 경우 안드로이드 기반의 스마트 폰 환경에서 이러한 왜곡 현상을 실시간으로 제거하는 유한응답 필터링 연산 알고리즘을 제시하고자 하였다.

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A Study on Research Framework and Research Trends in the Healthcare Information Technology Area (헬스케어 정보기술 분야의 연구 프레임워크 및 연구동향)

  • Lee, N.K.;Lee, J.O.;Hwang, K.T.
    • Informatization Policy
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    • v.21 no.3
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    • pp.3-32
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    • 2014
  • Recent developments of smart phone and ICT, and explosive developments of wireless sensor area drive radical changes on traditional health care service. To accommodate the changes, many researchers have studied to expand traditional healthcare service areas including home care for independent living and public care for preventive and collaborative wellness area. This study proposes a research framework for healthcare information technology area based on Mettler and Raptis's(2012) work. Then, the study analyze the research trends in the area based on the framework. The area of monitoring patients health status at home using smart phone, providing innovative healthcare service by out-patients monitoring, and implementing preventive healthcare services are identified most active and emerging research agenda. It is expected that the research framework and implications of this study can assist future research efforts and practical utilization of healthcare information technologies.

A Study of the Digital Healthcare Industry in the Fourth Industrial Revolution (4차 산업혁명시대의 디지털 헬스케어 산업에 대한 연구)

  • Kim, Ki-Bong;Han, Kun-Hee
    • Journal of Convergence for Information Technology
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    • v.10 no.3
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    • pp.7-15
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    • 2020
  • As the paradigm shifts from treatment and provider-centered healthcare to prevention and consumer-centered healthcare, the integration of ICT convergence technology is calling for an era of digital healthcare industry revival in the Fourth Industrial Revolution. It is possible to provide individual customized medical services utilizing various medical data, and it is possible to provide various medical services that transcend time and space through integration with other industries. Such digital healthcare includes health, nutrition, exercise, and patient care, while the digital healthcare industry includes healthcare and IT related to medical devices, medical information systems, and healthcare platforms that can provide personal health and medical information. Due to the social demands of the aging and the increase of chronic diseases, digital healthcare is considered as an important policy in the fourth industrial revolution in Korea. In order for the digital healthcare industry to contribute to the prolongation of human life and the improvement of quality of life, it is urgent to develop related infrastructures, legal institutions, and prepare policies. In addition, it is important to activate convergent education to foster talents who will lead the digital healthcare industry. The purpose of this study was to examine the trends of the digital healthcare industry in the era of the fourth industrial revolution and the direction of government R & D policies, and to derive directions and suggestions for future development.

Emergency Support System using Smart Device (스마트 기기를 활용한 응급 지원 시스템)

  • Jeong, Pil-seong;Cho, Yang-hyun
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.20 no.9
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    • pp.1791-1798
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    • 2016
  • Recently, research about ESS(Emergency Support System) has been actively carried out to provide a variety of medical services using smart devices and wearable devices. Smart healthcare provides a personalized health care service using various types of bio-signal measuring sensors and smart devices. For the smart healthcare using a smart device, it is need to research about personal health monitoring using a smart wearable devices, and also need to research on service methods for first aid measures after an emergency. In this paper, we proposed about group management based emergency support system, that is monitoring about personal bio signal using smart devices and wearable devices to protect patient's life. The system notices to the medical volunteers based on the position information when an emergency situation. In addition, we have designed and implemented an emergency support system providing the information of the patient on the display when transmitting a picture of a patient using a smart device to the server.

A Study on Mobile Patient Education Service Based on Lean Canvas: The Case of Samsung Medical Center (모바일 환자 교육 서비스의 린 캔버스 적용 사례연구: 삼성서울병원 스마트설명서비스 사례를 중심으로)

  • Seung Jun Lee;Jae Hong Park
    • Information Systems Review
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    • v.19 no.2
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    • pp.57-70
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    • 2017
  • Researchers and industry managers highlight the emergence of mobile healthcare market given the rapid development of IT and the expansion of average life expectancy. Medical institutions, such as university hospitals, are aiming to achieve convenience and effectiveness of treatment by providing patient education through a mobile device. This study examines a case related to the development and usage of a mobile application based on Lean Canvas, namely, the Smart Explanation Service released by Samsung Medical Center. This application comprehensively analyzes the usage status of mobile application-based patient education and its application in clinical settings. This study also examines the level of satisfaction of patients and medical workers toward this application. The result of this study is expected to provide meaningful implication to medical institutions and related industries and enable them to create and offer prepare mobile healthcare services.